title: Two year follow-up comparing computer assisted versus freehand TKR on joint stability, muscular function and patients satisfaction.
abstract: Computer assisted (CAS) knee surgery has been established in clinical routine. There is still no study that investigates clinical outcome. Fifty patients who received a primary total knee replacement 2 years before were investigated. These patients were divided into two groups of matched-pairs; group A was operated in the freehand technique and group B with support of a computer system. We compared Womac score, Knee Society score, range of motion, leg alignment, knee stability and isokinetic muscle strength. We found similar results for WOMAC, Knee Society score and isokinetic muscle force. Stability and range of motion revealed slightly better values for the CAS group. A statistically significant difference could only be demonstrated for postoperative leg alignment. Two years after freehand versus computer assisted TKR we found slightly better values for range of motion and ligamentous stability. Only postoperative leg alignment was statistically better in the CAS group.
authors.affiliation: Department of Orthopaedic Surgery, University of Regensburg, Kaiser-Karl-V. Allee 3, Bad Abbach 93077, Germany. c_luering@yahoo.de
authors.forename: C
authors.initials: C
authors.lastname: Lüring
authors.forename: F
authors.initials: F
authors.lastname: Oczipka
authors.forename: L
authors.initials: L
authors.lastname: Perlick
authors.forename: M
authors.initials: M
authors.lastname: Tingart
authors.forename: J
authors.initials: J
authors.lastname: Grifka
authors.forename: H
authors.initials: H
authors.lastname: Bäthis
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019645:Arthroplasty, Replacement, Knee / Q000295:instrumentation / Q000379:methods*; D005260:Female; D005471:Fluoroscopy; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000503:physiopathology; D007719:Knee Joint / Q000000981:diagnostic imaging* / Q000503:physiopathology* / Q000601:surgery; D007720:Knee Prosthesis; D008297:Male; D016555:Matched-Pair Analysis; D008875:Middle Aged; D053580:Muscle Strength; D017060:Patient Satisfaction; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D025321:Surgery, Computer-Assisted; D016896:Treatment Outcome